| NPI | 1881211159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A188282) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY 14932A) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2025-04-24 |